Loading...
HomeMy WebLinkAbout125216 WALSH ENVIRONMENTAL - INSURANCE CERTIFICATE (12)eITe..rrr• a�� ACORD� CERTIFICAT BILITY INSURANCE o;;26,os°"""" PRODUCER - 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate New York, LLC D ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Avenue u I Buffalo, NY 14202 lUL 3 Zp06 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental S 1 Engineers, LLC 4888 Pearl E. Circle, Suite 108 Boulder, CO 80301 INSURERA: Commerce 8; Industry Ins. CO. 19410 INSURER B: INSURER C: INSURER D: INSURER E: L"Ar, THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INV INSRH TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDNY) POLICY EXPIRATIONDATE DATE (MMIDDfYYI LIMITS A GENERAL LIABILITY GL4178739 08/01/06 08/01/07 EACH OCCURRENCE $3000000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPRrMISF.C; (Ea $500 OOO MED EXP (Any me person) $50 000 CLAIMS MADE O OCCUR PERSONAL & ADV INJURY s3.000.000 GENERAL AGGREGATE $3 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s3,000,000 17 POLICY PRO- LOC A AUTOMOBILE LIABILITY X ANY AUTO CA5053647 08/01/06 08/01/07 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTOONLY: AGG A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE BE5190387 08/01/06 08/01/07 EACH OCCURRENCE $10000 000 AGGREGATE $10 00O 000 S E RDEDUCTIBLE X RETENTION $ 10000 $ WORKERS COMPENSATION AND WCT SATU- OTH- TS ER ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? H yes describe under SPECIAL PROVISIONS beiow E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS MOLD ASSESSMT 200 MTN(TR) CITY OF FORT COLLINS 835 WOOD ST FORT COLLINS, CO 80526 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR �..� A&•VV "U01 T OT 2 PMJIU24 SMD 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ,cvv uvul Z Oi Z iFM37U24 rHanfil• R49 Cf`f11 C\Il/ ACORD,u CERTIFIC ITY INSURANCE DATE(os°"YYY) rrr PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Upstate New York, LLC ti ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 344 Delaware Avenue i 3 1 1006 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED i-I Buffalo, NY 14202 BY THE POLICIES BELOW. 716 856-1100 I 4SURERS AFFORDING COVERAGE NAIC # INSURED SURER A: Commerce 81 Industry/ Ins. CO. 19410 Walsh Environmental Scientists & Engineers, LLC INSURER B: 4888 Pearl E. Circle, Suite 108 INSURER C: Boulder, CO 80301 INSURER D: INSURER E: CKe]'/ 4 JACI =1-9 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (M1MFDDr1'Y1 POLICY EXPIRATION DATE (MMIDDIM LIMBS A GENERAL LIABILITY GL4178739 08/01/06 08/01/07 EACH OCCURRENCE $3 QQQ QQO COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTEDPREMISE (E. nancel $500 000 MED EXP (Any we person) $50 000 PERSONAL & ADV INJURY $3 000 000 GENERAL AGGREGATE $3 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $3 00Q 000 POLICY PRO LOC A AUTOMOBILE LIABILITY X ANY AUTO CAS053647 08/01/06 08/01/07 COMBINED SINGLE LIMIT (Ea ardent) $2 000 000 + + ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per perms) $ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE BE5190387 08/01/06 08/01/07 EACH OCCURRENCE $10 000 000 AGGREGATE $10 000 000 $ $ FDEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND TWOSLTATU IMIT OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT It OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PARK SHOP MOLD ASSESS(TL) CITY OF FORT COLLINS 835 WOOD ST FORT COLLINS, CO 80526 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR M\ WMW L.l (CUV IIU6) T Of 2 #M37024 SMD ® ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representafive or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. MVWnw Au7 kAVV 1/VOf 2 GT 2 OM37024 Fern GLUV ACORDTM CERTIFICATE OF LIABILITY INSURANCE 07/26106D"YYY) PRODUCER HRH of Upstate New York, LLC 344 Delaware Avenue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14202 716 856-1100 INSURERS AFFORDING COVERAGE NAIC # INSURED Walsh Environmental Scientists & Engineers, LLC 4888 Pearl E. Circle, Suite 108 Boulder, CO 80301 INSURERA: Commerce & Industry Ins. Co. 19410 INSURER B: INSURERC: INSURER D: INSURER E: COVFRACFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMWDDIYYI POLICY EXPIRATION DATE (MMIDDIM CHARS A GENERAL LIABILITY GL4178739 08/01/06 08/01/07 EACH OCCURRENCE $3 000 O00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $500OOO CLAIMS MADE a OCCUR MED EXP (Any we person) $50000 PERSONAL d ADV INJURY $3 000 000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $3 000 000 F_1POLICYF_j PRO- LOC A AUTOMOBILE LIABILITY X ANY AUTO CA5053647 08/01/06 08/01/07 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY BE5190387 08/01/06 08/01/07 EACH OCCURRENCE $10 000 000 X I OCCUR CLAIMS MADE AGGREGATE $1 O OOO 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND OR STATUS OTH- Y LIMITS EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? H describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SPCC PLAN UTIL DEPT (T7) CITY OF FORT COLLINS UTILITIES DEPARTMENT PO BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108)1 Of 2 #M37024 SMD ® ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. •+a Wmw &Qv kcvvuuul 2 of 2 SM37024